The choice of skin closure (staples vs. monofilament sutures vs. barbed sutures/adhesive) is critical for wound healing quality in prosthetic surgery (hip and knee). The combination of barbed sutures (e.g., Stratafix) and skin glue (e.g., Dermabond) is promising (superior cosmetic outcome, no suture removal, antimicrobial barrier) but has been poorly evaluated prospectively and comparatively in orthopaedics, which justifies this study. The primary objective is to compare the wound healing success rate at two weeks postoperatively between the patient groups. The primary outcome measure is successful wound healing, defined as the absence of wound complications (wound dehiscence, seroma, hematoma, early postoperative infection) during the first two weeks
Men and women aged over 18 years
Patient who has provided written informed consent in duplicate
Patient scheduled for a primary hip or knee prosthesis implantation
BMI < 30 kg/m²
Patient expresses opposition to participating in the study
Patients under 18 years of age
Patient scheduled for prosthesis revision surgery
History of osteoarticular or soft-tissue infection